Petroclival meningioma

Case contributed by Dr Bruno Di Muzio

Presentation

Headache.

Patient Data

Age: 75 years
Gender: Male
MRI

MRI Brain

MRI images show an extra-axial tumor at the right petroclival region, which extends into the right cavernous sinus and encases the right ICA. The tumor is solid and enhances vividly after contrast administration. 

Annotated image

Axial and sagittal: asterisk - meningioma; arrow - dural tail sign; arrowhead - dorsum sellae

Coronal: asterisk - meningioma; arrow - petrous apex 

Case Discussion

Meningiomas are the most common extra-axial tumors of the central nervous system and account for 14-20% of all intracranial neoplasms. They are a non-glial neoplasm that originates from the arachnoid cap cells of the meninges. Petroclival meningioma arises in the upper two-thirds of the clivus at the petroclival junction medial to the fifth cranial nerve.

This case is a presumptive diagnosis based on the typical imaging appearances, other differentials are felt unlikely. 

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Case information

rID: 31748
Published: 2nd Nov 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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